Provider Demographics
NPI:1225350531
Name:ZASLOFF, RANDY H (LPC, CADCI, NCC)
Entity Type:Individual
Prefix:MS
First Name:RANDY
Middle Name:H
Last Name:ZASLOFF
Suffix:
Gender:F
Credentials:LPC, CADCI, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10211
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97296-0211
Mailing Address - Country:US
Mailing Address - Phone:503-705-5928
Mailing Address - Fax:
Practice Address - Street 1:2456 NW NORTHRUP ST STE 1A
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-3253
Practice Address - Country:US
Practice Address - Phone:503-705-5928
Practice Address - Fax:844-965-9578
Is Sole Proprietor?:No
Enumeration Date:2010-02-28
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC4264101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional